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Nursing role in early detection of cardiac amyloidosis: a case report 护理在心脏淀粉样变早期发现中的作用1例报告
Pub Date : 2022-12-15 DOI: 10.14419/ijans.v11i1.32155
Noof Eid Al shammari
Cardiac amyloidosis (CA) is a rare health condition that occurs due to amyloid deposits in the heart's tissues, it causes restrictive cardiomy-opathy, which leads to heart failure and death. This report discusses a case of 72-year-old Saudi male known case of hypertension, diabetes mullets, left ventricular dysfunction, and chronic kidney dysfunction presented to hospital with shortness of breath, paroxysmal nocturnal dyspnea, and orthopnea. Patient's physical examination revealed jugular vein distention, generalized pitting edema and abdominal distension. Echo image exhibited abnormal myocardial texture with moderate global hypokinesia, left ventricular D shape, and thickened interatrial sep-tum. CA diagnosis is complex, and its diagnostic accuracy is relatively limited. Delay in CA diagnosis continues to challenge clinicians, which has adverse effects on patient's quality of life, and mortality rate. Underdiagnosis mainly because disease has nonspecific symptoms which often associated with poor prognosis. To aid in early diagnosis and treatment, nurses should be aware about symptoms, diagnostic approach, and disease progression of CA.
心脏淀粉样变性(CA)是一种罕见的健康状况,由于淀粉样蛋白沉积在心脏组织中,它会引起限制性心肌病,导致心力衰竭和死亡。本报告讨论了一例72岁的沙特男性高血压、糖尿病、左心室功能障碍和慢性肾功能障碍的病例,并以呼吸短促、阵发性夜间呼吸困难和骨科呼吸困难就诊。体格检查显示颈静脉扩张,全身凹陷性水肿及腹胀。超声示心肌质地异常,整体轻度运动减退,左室D形,房间隔增厚。CA诊断复杂,诊断准确性相对有限。延迟CA诊断继续挑战临床医生,这对患者的生活质量和死亡率产生不利影响。漏诊主要是因为疾病具有非特异性症状,往往与预后不良有关。为了帮助早期诊断和治疗,护士应该了解CA的症状、诊断方法和疾病进展。
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引用次数: 0
Challenges experienced by cancer patients receiving treatment at Oshakati oncology clinic, Oshana region, Namibia 在纳米比亚奥沙纳地区奥沙卡蒂肿瘤诊所接受治疗的癌症患者所面临的挑战
Pub Date : 2021-12-16 DOI: 10.14419/ijans.v10i2.31834
Ester Mulenga, Elise Mutanga
People living with cancer encounter different problems; some are related to their diagnoses and treatment. The purpose of the study was to explore and describe the challenges experienced by cancer patients receiving treatment at Oshakati oncology clinic in Namibia. A qualitative, exploratory and descriptive study was conducted using purposive sampling and twelve patients diagnosed with different types of cancer were interviewed using unstructured individual in-depth interview. Data were transcribed verbatim and Tesch `s method was used to analyze the data.The study revealed multifaceted challenges which include physical constraints such as physical ailments, long distance to health facilities and excessive travelling; financial and resource constraints as well as other challenges such as negative attitudes of health workers, poor communication and inadequate provision of information to patients. The study concluded that understanding those challenges will assist the government, private sectors, non- governmental organization and health workers to come up with intervention strategies to support cancer patients effectively. The study recommends the need to decentralize oncology services and to provide in-service training to the health workers working with patients living with cancer.  
癌症患者会遇到不同的问题;有些与他们的诊断和治疗有关。该研究的目的是探索和描述在纳米比亚Oshakati肿瘤诊所接受治疗的癌症患者所经历的挑战。采用有目的抽样进行定性、探索性和描述性研究,采用非结构化个人深度访谈法对12名确诊为不同类型癌症的患者进行访谈。资料逐字抄录,用Tesch法进行分析。这项研究揭示了多方面的挑战,其中包括身体上的限制,如身体疾病、到保健设施的距离太远以及过度旅行;财政和资源限制以及其他挑战,如卫生工作者的消极态度、沟通不畅和向患者提供信息不足。该研究的结论是,了解这些挑战将有助于政府、私营部门、非政府组织和卫生工作者提出干预策略,有效地支持癌症患者。该研究建议有必要分散肿瘤学服务,并向与癌症患者一起工作的卫生工作者提供在职培训。
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引用次数: 0
Factors associated with hemodialysis adequacy among end stage renal disease patients on maintenance hemodialysis in Rwanda 卢旺达维持血液透析的终末期肾病患者血液透析充分性的相关因素
Pub Date : 2021-04-14 DOI: 10.14419/ijans.v10i1.31454
Didace Ndahayo, Emmanuel Bimenyimana Gapira, Theos Mbabazi, G. Chironda
The aim of this study was to assess the factors associated with dialysis adequacy in ESRD patients on maintenance hemodialysis in Rwanda. A descriptive cross-sectional study was conducted. A sample size of 66 hemodialysis patients was selected using purposive sampling strategy. An interview scheduled guide was used to collect data. Dialysis adequacy was calculated using kt/v Daugirdas & Schneditz formula. The mean hemodialysis adequacy was 1.26± 0.34. Most participants [41(62%)] had optimal hemodialysis adequacy of equal or greater than to 1.2, 19 (29%) had near optimal hemodialysis adequacy (0.8 - 1.2 kt/v) and only 6 (9%) had less than optimal hemodialysis adequacy (kt/v <0.8). Factors associated with hemodialysis adequacy were hospital settings (p = .010), age (p = .007), BMI (p =.004) and blood pressure level ((p = .018). Moreover, mode of transport and type of drinking water was significantly associated with hemodialysis adequacy (p = 0.032 and 0.030 respectively). In conclusion, the level of hemodialysis adequacy was low in 38% of ESRD patients with associated factors predominantly demographics. Therefore, further research inquiry is needed on additional factors which include technical aspects to establish their association with hemodialysis adequacy.  
本研究的目的是评估卢旺达维持血液透析的ESRD患者透析充分性的相关因素。进行了描述性横断面研究。采用有目的的抽样策略,选取66例血液透析患者作为样本。采用访谈计划指南收集数据。透析充分性采用kt/v Daugirdas & Schneditz公式计算。平均血液透析充分性为1.26±0.34。大多数参与者[41人(62%)]的最佳血液透析充分性等于或大于1.2,19人(29%)的血液透析充分性接近最佳(0.8 - 1.2 kt/v),只有6人(9%)的血液透析充分性低于最佳(kt/v <0.8)。与血液透析充分性相关的因素是医院环境(p = 0.010)、年龄(p = 0.007)、BMI (p = 0.004)和血压水平(p = 0.018)。此外,运输方式和饮用水类型与血液透析充分性显著相关(p分别= 0.032和0.030)。总之,38%的ESRD患者血液透析充分性水平较低,相关因素主要是人口统计学因素。因此,需要对其他因素进行进一步的研究,包括技术方面,以建立其与血液透析充分性的关系。
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引用次数: 2
Effect of stacked breathing exercise on reducing pulmonary infection and complications for patients with pleural effusion 叠叠式呼吸运动对减少胸腔积液患者肺部感染及并发症的影响
Pub Date : 2021-01-13 DOI: 10.14419/IJANS.V10I1.31295
A. Mohamed, M. A. El-Aziz, Asmaa Aly Mahgoup, Zain Hassan
Background: Chest expansion exercises are widely used for patients with pleural effusion. One of these exercises is stacked breathing exercise which has shown to be effective in mobilizing greater lung volumes and in achieving and sustaining deep inspiration. But it is not known whether it will have similar effects in patients with pleural effusion and if it has effect on reducing pulmonary infection and complications for these patients. Objective: Was to evaluate the effectiveness of stacked breathing exercise on reducing pulmonary infection and complications for patients with pleural effusion. Design: A randomized controlled experimental study was used in this study. Participants: sixty patients with pleural effusion were selected by convenience sample and randomly assigned into two groups; the intervention and control groups (30 patients each). Method: Three tools were used. Tool I was Pleural effusion assessment tool included demographic and medical history, hemodynamic parameters and assessment of respiratory system. Tool II is stacked breathing exercise tool used to assess the exercise done to the intervention group. Tool III was Patients' outcomes evaluation sheet used to assess the effect of stacked breathing exercise on pulmonary infection score and complications. Results: There were significant differences in pulmonary infection score and complications between the intervention and control groups. Pulmonary infection score in the intervention group was much lower, and their complications were lower than those in the control group. Conclusion: implementing stacked breathing exercise had significant effect in reducing pulmonary infection and complications in patients with pleural effusion than the routine hospital care.
背景:胸腔扩张运动被广泛应用于胸腔积液患者。其中一种练习是堆叠呼吸练习,它已被证明在调动更大的肺容量和实现和维持深度吸气方面是有效的。但对于胸腔积液患者是否会有类似的效果,以及是否对减少这些患者的肺部感染和并发症有作用,目前尚不清楚。目的:探讨叠式呼吸运动对减少胸腔积液患者肺部感染及并发症的效果。设计:本研究采用随机对照实验研究。对象:采用方便抽样法选取60例胸腔积液患者,随机分为两组;干预组和对照组各30例。方法:使用三种工具。工具一是胸腔积液评估工具,包括人口统计学、病史、血流动力学参数和呼吸系统评估。工具II是堆叠式呼吸运动工具,用于评估干预组的运动情况。工具III为患者结局评估表,用于评估堆叠呼吸运动对肺部感染评分及并发症的影响。结果:干预组与对照组在肺部感染评分及并发症方面差异有统计学意义。干预组肺部感染评分明显低于对照组,并发症发生率明显低于对照组。结论:与常规医院护理相比,实施层叠式呼吸练习对减少胸腔积液患者肺部感染及并发症有显著效果。
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引用次数: 1
Nurses' compliance to patient and environmental safety guidelines in critical care units 护士对重症监护病房病人和环境安全准则的遵守情况
Pub Date : 2020-11-28 DOI: 10.14419/ijans.v9i2.29726
E. A. A. Elhamid, Nehad Ezz Eldin Abdallah, Safaa Mohamed Abd Elrahman
The ability to provide safe and high-quality care to patients is the primary goal and the focus for many health care providers. Guidelines can be used to reduce adverse event in practice and to promote the delivery of high quality and evidence-based health care. The aim of the study to investigate nurses' compliance to patient and environmental safety guidelines in critical care units. Descriptive research design was utilized to achieve the aim of this study. The study was carried out at three of Minia University Hospitals in Minia city. All available nurses (n= 88) who were working in critical care units at time of data collection in the selected hospitals. An environmental and patient safety guidelines questionnaire was used to achieve the aim of this study. Results: less than two third of studied subject were not compliance to patient safety nurses', while nurses complied to environmental safety with 62.5% in critical care units; also, there is highly statistical significance between departments and nurses' compliance to patient safety. Thus, it was concluded that less than two third of studied subject were not compliance to patient safety. As well as environmental safety in critical care units was appropriate with 62.5% in critical care units. Recommendations: Staff development programs for nurses working in critical care units related to patient and environmental safety as well as ensuring that the organization’s annual budget includes adequate resources to implement and evaluate health and safety activities.
为患者提供安全和高质量护理的能力是许多卫生保健提供者的主要目标和重点。指南可用于减少实践中的不良事件,并促进提供高质量的循证卫生保健。本研究的目的是调查护士对重症监护病房患者和环境安全指南的遵守情况。采用描述性研究设计来达到本研究的目的。这项研究是在米尼亚市的三所米尼亚大学医院进行的。在所选医院收集数据时在重症监护病房工作的所有可用护士(n= 88)。为了达到本研究的目的,采用了一份环境和患者安全指南问卷。结果:不到三分之二的研究对象不遵守患者安全护士的要求,而重症监护病房护士遵守环境安全的比例为62.5%;科室与护士对患者安全的依从性也具有高度的统计学意义。由此得出结论,不到三分之二的研究对象不符合患者安全。此外,重症监护病房的环境安全是适当的,62.5%的人在重症监护病房。建议:为在重症监护病房工作的护士制定与病人和环境安全相关的员工发展计划,并确保组织的年度预算包括足够的资源来实施和评估健康和安全活动。
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引用次数: 1
Relationship of fear and fatalism with breast cancer screening among women using health belief model 基于健康信念模型的恐惧、宿命论与女性乳腺癌筛查的关系
Pub Date : 2020-09-20 DOI: 10.14419/ijans.v9i2.30970
H. Elsaba, Amal Samir Abd El-Maksoud
Despite the potential benefits of screening in discovering breast cancer, many women still do not follow recommended screening regimens. Fear of cancer detection and fatalistic beliefs were identified by previous studies as the main reasons given by women for noncompliance with breast cancer screening. The aim of this descriptive study is to explore relationship of fear and fatalism with breast cancer screening among a convenience sample of 136 women recruited during their visit to the Gynecology Clinic at the Maternity University Hospital in Alexandria, Egypt. The study tool consists of four parts: (1) Bio-sociodemographic information; (2) Champion Breast Cancer Fear Scale (CBCFS); (3) Powe Fatalism Inventory (PFI); (4) abridged version of the Champion Health Belief Model Scale (CHBMS). The findings revealed that only 3.7% and 14.7% of women practiced regular breast self-examination and had previously had mammography, respectively. Negative correlations were found between fatalism and health beliefs; and between fear and health belief. A positive correlation was found between fatalism and fear. The findings of this study add some experimental support for the relationships between fear, fatalism, and breast cancer screening behavior.
尽管筛查在发现乳腺癌方面有潜在的好处,但许多妇女仍然没有遵循推荐的筛查方案。之前的研究发现,对癌症检测的恐惧和宿命论信仰是女性不接受乳腺癌筛查的主要原因。本描述性研究的目的是探讨恐惧和宿命论与乳腺癌筛查的关系,在埃及亚历山大妇产大学医院妇科诊所招募了136名妇女作为方便样本。研究工具包括四个部分:(1)生物社会人口学信息;(2)冠军乳腺癌恐惧量表(CBCFS);(3) power宿命论量表(PFI);(4)冠军健康信念模型量表(CHBMS)精简版。调查结果显示,分别只有3.7%和14.7%的女性定期进行乳房自我检查和之前进行过乳房x光检查。宿命论与健康信念呈负相关;在恐惧和健康信念之间。宿命论和恐惧之间存在正相关。这项研究的发现为恐惧、宿命论和乳腺癌筛查行为之间的关系提供了一些实验支持。
{"title":"Relationship of fear and fatalism with breast cancer screening among women using health belief model","authors":"H. Elsaba, Amal Samir Abd El-Maksoud","doi":"10.14419/ijans.v9i2.30970","DOIUrl":"https://doi.org/10.14419/ijans.v9i2.30970","url":null,"abstract":"Despite the potential benefits of screening in discovering breast cancer, many women still do not follow recommended screening regimens. Fear of cancer detection and fatalistic beliefs were identified by previous studies as the main reasons given by women for noncompliance with breast cancer screening. The aim of this descriptive study is to explore relationship of fear and fatalism with breast cancer screening among a convenience sample of 136 women recruited during their visit to the Gynecology Clinic at the Maternity University Hospital in Alexandria, Egypt. The study tool consists of four parts: (1) Bio-sociodemographic information; (2) Champion Breast Cancer Fear Scale (CBCFS); (3) Powe Fatalism Inventory (PFI); (4) abridged version of the Champion Health Belief Model Scale (CHBMS). The findings revealed that only 3.7% and 14.7% of women practiced regular breast self-examination and had previously had mammography, respectively. Negative correlations were found between fatalism and health beliefs; and between fear and health belief. A positive correlation was found between fatalism and fear. The findings of this study add some experimental support for the relationships between fear, fatalism, and breast cancer screening behavior.","PeriodicalId":311537,"journal":{"name":"International Journal of Advanced Nursing Studies","volume":"64 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133905327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Psychosocial distress among patients with cancer at a county referral hospital in Kenya 肯尼亚一家县转诊医院癌症患者的心理社会困扰
Pub Date : 2020-08-24 DOI: 10.14419/ijans.v9i2.30745
Francis Justin Kinoti, S. Oluchina, B. W. Mbithi
Introduction: Cancer diagnosis and treatment are emotionally draining to patients and their caregivers. For a long time, treatment for cancer has been associated with pain, suffering and death. These negative consequences of cancer create psychosocial effects such as anxiety and fear. Therefore, there is need to recognize and accurately identify this psychosocial distress problems on patients with cancer by healthcare providers to figure out interventions for these psychosocial issues. Objective: To assess the psychosocial distress among patients with cancer attending the Machakos county referral hospital palliative care unit. Subjects and Methods: Data were collected through descriptive cross-sectional design where a total of 97 patients were interviewed and filled the questionnaires and the National Cancer Center Network distress thermometer and problem list. The data was analyzed using the Statistical Package for Social Sciences (SPSS) for windows version 24. Descriptive statistics such as the means, standard deviation and frequencies were generated and Pearson Chi square test of association computed to determine the associations between the independent and the dependent variables. The confidence interval was set at 95% (p≤ 0.05). Results: The study findings revealed that 72.2% of the respondents were distressed. Majority (83.3%) of the respondents reported being in pain, 64.9% of them cited problems with decision making about treatment, while 59.8% of the respondents said that they were experiencing fatigue. Other issues cited by the respondents included financial constraints and facing difficulties while eating. The study results also showed that there was statistically significant association between having psychosocial distress and gender (P=0.015) and cancer treatment (P=0.015). Conclusion: There is a very high prevalence of psychosocial distress among patients with cancer with the leading psychosocial distress problem being pain.
导读:癌症的诊断和治疗对病人和他们的照顾者来说是一种情感消耗。长期以来,癌症的治疗一直与痛苦、折磨和死亡联系在一起。癌症的这些负面后果会产生焦虑和恐惧等社会心理影响。因此,医疗服务提供者有必要认识并准确地识别癌症患者的心理社会困扰问题,以找出针对这些心理社会问题的干预措施。目的:了解在马查科斯县转诊医院姑息治疗中心就诊的癌症患者的心理社会困扰状况。对象与方法:采用描述性横断面设计,对97例患者进行访谈,填写问卷和美国国家癌症中心网络焦虑温度计及问题清单。使用windows版本24的社会科学统计软件包(SPSS)对数据进行分析。生成均值、标准差和频率等描述性统计数据,并进行关联的皮尔逊卡方检验,以确定自变量和因变量之间的关联。置信区间为95% (p≤0.05)。结果:研究结果显示,72.2%的受访者感到苦恼。大多数(83.3%)的受访者表示感到疼痛,64.9%的受访者表示在治疗决策方面存在问题,而59.8%的受访者表示他们感到疲劳。受访者提到的其他问题还包括经济拮据和吃饭困难。研究结果还显示,心理社会困扰和性别(P=0.015)与癌症治疗(P=0.015)之间存在统计学意义上的显著关联。结论:癌症患者的心理社会困扰患病率很高,主要的心理社会困扰问题是疼痛。
{"title":"Psychosocial distress among patients with cancer at a county referral hospital in Kenya","authors":"Francis Justin Kinoti, S. Oluchina, B. W. Mbithi","doi":"10.14419/ijans.v9i2.30745","DOIUrl":"https://doi.org/10.14419/ijans.v9i2.30745","url":null,"abstract":"Introduction: Cancer diagnosis and treatment are emotionally draining to patients and their caregivers. For a long time, treatment for cancer has been associated with pain, suffering and death. These negative consequences of cancer create psychosocial effects such as anxiety and fear. Therefore, there is need to recognize and accurately identify this psychosocial distress problems on patients with cancer by healthcare providers to figure out interventions for these psychosocial issues. Objective: To assess the psychosocial distress among patients with cancer attending the Machakos county referral hospital palliative care unit. Subjects and Methods: Data were collected through descriptive cross-sectional design where a total of 97 patients were interviewed and filled the questionnaires and the National Cancer Center Network distress thermometer and problem list. The data was analyzed using the Statistical Package for Social Sciences (SPSS) for windows version 24. Descriptive statistics such as the means, standard deviation and frequencies were generated and Pearson Chi square test of association computed to determine the associations between the independent and the dependent variables. The confidence interval was set at 95% (p≤ 0.05). Results: The study findings revealed that 72.2% of the respondents were distressed. Majority (83.3%) of the respondents reported being in pain, 64.9% of them cited problems with decision making about treatment, while 59.8% of the respondents said that they were experiencing fatigue. Other issues cited by the respondents included financial constraints and facing difficulties while eating. The study results also showed that there was statistically significant association between having psychosocial distress and gender (P=0.015) and cancer treatment (P=0.015). Conclusion: There is a very high prevalence of psychosocial distress among patients with cancer with the leading psychosocial distress problem being pain.","PeriodicalId":311537,"journal":{"name":"International Journal of Advanced Nursing Studies","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116941629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coping experiences of Pakistani nurses against corona stressor; a qualitative study 巴基斯坦护士应对冠状病毒应激源的体会定性研究
Pub Date : 2020-08-04 DOI: 10.14419/ijans.v9i1.30834
A. Haider
Objective: The aim of the present qualitative study was to find out how Pakistani Nurses are experiencing the coping strategies against CoronaStressor. Background: Corona is the WorldWide stressor for Nurses. The Pakistani Nurses are experiencing this stressor and are coping with it too. The present study is on Coping of Nurses of Pakistan against CoronaStressor. Method: Narrative variation of qualitative research with conventional content analysis was applied to extract results from openended interview questions which were administered on nurses face to face with purposive sampling technique. Results: Six major themes; five of conventional coping strategies and one new coping strategy were used by Nurses against CoronaStressor. Discussion & Conclusion: Nurses in Pakistan are using Standard Operating Procedures as a new coping strategy against Corona Stressor with the already established conventional coping strategies.
目的:本定性研究的目的是了解巴基斯坦护士如何体验应对冠状病毒的策略。背景:冠状病毒是世界范围内护士的压力源。巴基斯坦护士正在经历这种压力源,也在应对它。本研究是关于巴基斯坦护士应对冠状病毒的研究。方法:采用定性研究的叙事性变异和常规的内容分析,采用有目的抽样方法对护士进行面对面的开放式访谈问题进行抽取。结果:六大主题;护士对冠状病毒的传统应对策略有5种,新型应对策略有1种。讨论与结论:巴基斯坦的护士正在使用标准操作程序作为新的应对策略,以应对已经建立的传统应对策略。
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引用次数: 0
Social cultural factors influencing health seeking practices among men suffering from lower urinary tract symptoms attending surgical outpatient clinic at a county referral hospital in Kenya 社会文化因素影响在肯尼亚一家县转诊医院外科门诊就诊的患有下尿路症状的男性的求医行为
Pub Date : 2020-08-04 DOI: 10.14419/ijans.v9i1.30914
F. Muriuki, B. W. Mbithi, S. Oluchina
Health seeking practices is critical towards early screening, detection and control of Lower Urinary Tract Symptoms (LUTS) whereby human prostate gland is the major cause of benign prostate hyperplasia (BPH) and prostate cancer (PCA), which mostly accounts for LUTS. Social cultural factors such as cultural beliefs, educational level, income level and religion among many others have a direct influence on health seeking practices both positively and negatively in as far as LUTS are concerned. The researcher explored social cultural factors influencing health seeking practices among men with LUTS attending surgical outpatient clinic at Meru level five hospital (Kenya). De-scriptive cross-sectional study design was used to collect data from 120 men with LUTS, and 4 health workers. Census method was used to select the study participants with questionnaires, interview guide and focused group discussion used as instruments of data collection. Quantitative data was analyzed using Statistical Package for Social Sciences (SPSS) software version 22, whereas the qualitative data was analyzed using qualitative techniques. Descriptive statistics were computed to generate percentages and frequencies, which were then presented in tables and charts. Logistic regression was used whereby P-values were employed to determine the statistical significance of results with cut off set at (p ≤0.05). Majority (67.0%) of the patients with LUTS were aged between 61-70 years. Also, majority (68.8%) of the respondents had primary level of education, with majority (72.0%) of them being farmers with an income level of below Ksh. 20,000. The study results showed that social cultural factors had statistical significant influence on health seeking practices among men with LUTS.
寻求健康的做法是至关重要的早期筛查,发现和控制下尿路症状(LUTS),其中人类前列腺是良性前列腺增生(BPH)和前列腺癌(PCA)的主要原因,这是主要的LUTS。社会文化因素,如文化信仰、教育水平、收入水平和宗教等,对寻求保健的做法有直接的积极和消极的影响。研究者探讨了社会文化因素对在Meru五级医院(肯尼亚)外科门诊就诊的LUTS男性寻求健康行为的影响。采用描述性横断面研究设计收集120名LUTS男性和4名卫生工作者的数据。采用人口普查方法选择研究对象,采用问卷调查、访谈指南和焦点小组讨论作为数据收集工具。定量数据采用SPSS (Statistical Package for Social Sciences)软件第22版进行分析,定性数据采用定性技术进行分析。计算描述性统计以产生百分比和频率,然后以表格和图表的形式呈现。采用Logistic回归,采用p值确定结果的统计学显著性,截断集为(p≤0.05)。大多数(67.0%)LUTS患者年龄在61-70岁之间。此外,大多数(68.8%)受访者受过初级教育,其中大多数(72.0%)是收入水平低于2万肯尼亚先令的农民。研究结果显示,社会文化因素对LUTS男性就医行为有显著的影响。
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引用次数: 0
Dietary knowledge, attitude, and practice regarding prevention of iron deficiency anemia among pregnant women in Riyadh, Saudi Arabia 沙特阿拉伯利雅得孕妇预防缺铁性贫血的饮食知识、态度和实践
Pub Date : 2020-07-01 DOI: 10.14419/ijans.v9i1.30456
Ashwaq A Alosaimi, Sabreen Abdullah Alamri, Manal Mohammed Abduljawad, Sahar M. Yakout, S. Moawed
Background: Iron deficiency anemia (IDA) is recognized as the world’s most widespread nutritional disorder, affecting 1.6 billion people that constitute about 25% of the global population, and it is one of the most common diseases complicating antenatal women worldwide, particularly in the developing countries. There have been few research studies on IDA in pregnancy in Arab countries including Saudi Arabia. Objectives: This study aimed to assess the knowledge, attitude, and practice (KAP) on IDA among pregnant women in Riyadh, Saudi Arabia. Methods: A correlational study was used to collect data from a convenience sample of 314 pregnant women in Al Yammamah Hospital. Socio-demographic and obstetric characteristics, knowledge, attitude, and practice toward IDA during pregnancy questionnaire were determined and were analyzed for association. The KAP questionnaire was developed by the researchers based on Food and Agriculture Organization (FAO) guidelines. Results: Majority of the participants were in the age group 31 years and older who were university graduates, housewives, and have a monthly income of more than 5000 Saudi Riyals. In addition to their obstetric history, majorities were multigravida and multipara, in their third trimester, had no previous surgical or obstetric surgical history or complications in their previous pregnancies. Significant associations were found between the level of hemoglobin and income and dietary practices. Education is a major predictor of knowledge, attitude and practice among Saudi pregnant women. Conclusions: Saudi pregnant women have modest knowledge and positive attitude regarding IDA during pregnancy. Appropriate nutritional counseling during antenatal follow up should be encouraged and should include all women in reproductive age.
背景:缺铁性贫血(IDA)被认为是世界上最普遍的营养失调,影响着16亿人,约占全球人口的25%,它是全世界特别是发展中国家产前妇女最常见的疾病之一。包括沙特阿拉伯在内的阿拉伯国家对妊娠期IDA的研究较少。目的:本研究旨在评估沙特阿拉伯利雅得孕妇对IDA的知识、态度和实践(KAP)。方法:采用相关性研究方法收集Al yamamah医院314名孕妇的便利样本。调查问卷确定妊娠期对IDA的社会人口统计学和产科特征、知识、态度和做法,并分析其相关性。KAP问卷是由研究人员根据粮食及农业组织(粮农组织)的指导方针编制的。结果:大多数参与者的年龄在31岁及以上,他们是大学毕业生,家庭主妇,月收入超过5000沙特里亚尔。除产科史外,大多数患者在妊娠晚期为多胎和多产妇,既往无外科或产科手术史,既往妊娠无并发症。血红蛋白水平与收入和饮食习惯之间存在显著关联。教育是沙特孕妇的知识、态度和行为的主要预测因素。结论:沙特孕妇在妊娠期对IDA有一定的认知和积极的态度。应鼓励在产前随访期间进行适当的营养咨询,并应包括所有育龄妇女。
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引用次数: 1
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International Journal of Advanced Nursing Studies
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